- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's ... guidance, and sound judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical ... Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coding Professional work assignments are often… more
- Highmark Health (Atlanta, GA)
- …This job provides end-to-end management, delivery and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health ... business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports other key objectives designed to… more
- RELX INC (Atlanta, GA)
- …of our GRC team? About the role: We are seeking an experienced Governance, Risk , and Compliance (GRC) Analyst to lead the development and implementation of ... The successful candidate will have a deep understanding of cybersecurity frameworks, risk management, and compliance standards, and will work collaboratively… more
- RELX INC (Alpharetta, GA)
- …has four market segments. It develops information-based analytics and decision tools for professional and business customers in the Risk , Scientific, Technical & ... Are you ready to elevate your career by ensuring top-notch security compliance in a dynamic and innovative company? Do you have the expertise and passion to drive… more
- Amazon (Atlanta, GA)
- …As a member of the AWS Professional Services Global Security, Risk , and Compliance practice you will pioneer technically advanced security solutions ... resources here to help you develop into a better-rounded professional . Work/Life Balance We value work-life harmony. Achieving success...Qualifications - 1+ year(s) of experience in IT security, compliance , or risk management - 3+ years… more
- Datavant (Atlanta, GA)
- …The individual will provide superior quality by performing audits pertaining to risk adjustment coding efforts. The individual will be responsible for ... ensuring coding compliance and accuracy + Monitor the performance of the Risk Adjustment Operations both internally and with coding vendors + Provides… more
- Truist (Atlanta, GA)
- …Develop appropriate policies and procedural documentation to effectively manage the risk of GAAP non- compliance . Ensure the continual effectiveness of ... to help drive business decisions and strategy while ensuring compliance with regulatory guidelines and US GAAP - Oversee...and business units. - Continuously monitor the financial statement risk to provide input on initiatives to enhance control… more
- RELX INC (Alpharetta, GA)
- …a variety of financial services products and services, but primarily credit risk assessment, fraud analytics, and financial crime compliance applications. You ... Oversee the validation, monitoring, and performance assessment of credit risk and fraud detection models. + Ensure compliance...a disability or other need that requires accommodation or adjustment , please let us know by completing our Applicant… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Insurance vertical, we provide customers with ... with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency. Our insurance risk solutions help… more
- RELX INC (Atlanta, GA)
- …matter expertise for Transaction Monitoring (TM) initiatives across the Financial Crimes Compliance (FCC) division of LexisNexis Risk Solutions. In this role, ... About the Business LexisNexis Risk Solutions is the essential partner in the...all functions including product, technology, data operations, marketing, and professional services to ensure an end-to-end focus for data,… more
- CenterWell (Atlanta, GA)
- …efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment . Uses data-based insight to direct process improvement efforts ... and Finance Strategy Lead - MRA in the PCO risk adjustment area implements and supports strategy...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity… more
- AIG (Atlanta, GA)
- …processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. The Aerospace claims team is a ... stakeholder reporting requirements including critical identification of loss trends and risk management opportunities. You will be required to develop talent from… more
- RELX INC (Alpharetta, GA)
- …Continuous Monitoring Engineer Are looking for an opportunity to drive our FedRAMP compliance initiatives? Are you looking to become our FedRAMP SME? About the ... BusinessLexisNexis(R) Risk Solutions provides customers with solutions and decision tools...NIST guidelines. You will be to ensure the ongoing compliance of our organization's systems and infrastructure with FedRAMP… more
- RELX INC (Atlanta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about… more
- AIG (Atlanta, GA)
- t AIG, we are reimagining the way we help customers to manage risk . Join us as a General Aviation Claims Specialist III to play your part in that transformation. ... consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact… more
- RELX INC (Alpharetta, GA)
- About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . Within our Business Services vertical, we offer a multitude of ... Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more… more
- Amazon (Atlanta, GA)
- …equivalent Preferred Qualifications - - Professional auditing qualification, or similar risk or compliance credentials as well as experience with research ... there's nothing we can't achieve. Basic Qualifications - 4+ years of compliance program management, legal, governance, audit, risk /loss prevention, or equivalent… more
- RELX INC (Alpharetta, GA)
- …for financial institutions and corporations. Their primary goal is to improve risk detection, reduce false positives, and streamline compliance workflows. ... in Quality Assurance is responsible for enhancing QA methodology and ensuring compliance by working with management to improve quality and process standards that… more
- Amazon (Atlanta, GA)
- …model. Basic Qualifications - Bachelor's degree or equivalent - 6+ years of compliance , audit or risk management experience - Knowledge of Microsoft Office ... using safety as the key driver to reduce the risk . Key job responsibilities - Work with the WW...ship modes (eg, air, ground, sea) - Audit program compliance - Ingesting process improvements and assisting in implementing… more